Based on overlapping symptoms, Borderline Personality Disorder (BPD) and Narcissistic Personality Disorder (NPD) are often mistaken for one another.
Cluster B personality disorders are characterized by dramatic, overly emotional or unpredictable thinking or behavior. They include antisocial personality disorder, borderline personality disorder, histrionic personality disorder and narcissistic personality disorder.
Diagnostic Considerations
Narcissistic personality disorder (NPD) is 1 of the 4 cluster B personality disorders, which also include antisocial personality disorder (ASPD), borderline personality disorder (BPD), and histrionic personality disorder (HPD).
Not every narcissist has narcissistic personality disorder (NPD), as narcissism is a spectrum. People who are at the highest end of the spectrum are those that are classified as NPD, but others, still with narcissistic traits, may fall on the lower end of the narcissistic spectrum.
“To what extent do you agree with this statement: 'I am a narcissist.'” Scientists believe that this question could be all researchers need to make a quick and easy diagnosis of narcissism.
An inadvertent narcissist is a person who behaves in highly egocentric and self-focused ways without having any insight into the source of these behaviors as coming from one's own personality. One very obvious route to gaining this understanding comes from listening to yourself speak.
Other psychiatric disorders can imitate narcissistic traits and NPD. An individual must fulfill specific criteria to be diagnosed with NPD. Suffering from depression, PTSD, or substance abuse disorder can mimic NPD.
Covert narcissism (also known as vulnerable narcissism) is the more introverted side of NPD. A covert narcissist experiences the same insecurities as an overt narcissist, but internalizes their self-importance, often while hyper-focusing on their need for attention.
Sociopaths are more dangerous than narcissists. People with antisocial personality disorder are more likely to be engaged in an abusive or controlling relationship. They're also more likely to be involved in illegal activities or financial fraud schemes.
Echoism is the opposite of narcissism. While a narcissistic person is very self-centered and always acts in their best interests, an echoist is someone who may often put others' needs before their own. In extreme cases, these personality traits can be harmful to yourself and others.
Grandiose and vulnerable narcissism are the “two faces” of narcissism that represent related but separate traits.
However, narcissistic symptoms associated with an external traumatic event may be reflexively and erroneously attributed to PTSD, no matter how small or insignificant the traumatic stressor. Mistaking TANS for PTSD usually results in treatment failure.
Malignant narcissism is considered by many to be the most severe type. 2 That's why it helps to recognize when you have someone with this condition in your life and what to expect from interactions with them.
Malignant narcissists are often regarded as having the most extreme form of NPD, and while they will have the regular qualities of someone with narcissistic personality disorder, their self-absorption and self-obsession is accompanied by some darker behaviors as well.
Overview. Narcissistic personality disorder is a mental health condition in which people have an unreasonably high sense of their own importance. They need and seek too much attention and want people to admire them. People with this disorder may lack the ability to understand or care about the feelings of others.
Among many other things covert narcissists do, a hallmark of their eccentricity is using false humility or self-deprecating comments to garner people's attention and seek validation. They trivialize their skills and accomplishments, so people reassure them or shower them with praise.
They sometimes lead to the Serotonin syndrome, which includes agitation and exacerbates the rage attacks typical of a narcissist. SSRIs do lead at times to delirium and a manic phase and even to psychotic microepisodes.
Narcissism tends to emerge as a psychological defence in response to excessive levels of parental criticism, abuse or neglect in early life. Narcissistic personalities tend to be formed by emotional injury as a result of overwhelming shame, loss or deprivation during childhood.
The development of narcissistic traits is in many cases, a consequence of neglect or excessive appraisal. In some cases, this pathological self-structure arises under childhood conditions of inadequate warmth, approval and excessive idealization, where parents do not see or accept the child as they are.
They're often introverted, sensitive, and prone to experiencing anxiety and shame. They may also struggle to maintain close friendships as they focus heavily on themselves, require attention, and are hyper-sensitive to perceived criticism.
The false self and pathological narcissism
Pathological narcissism is a traumatic stress response that manifests as ego distortion. It is the invention of a fake persona as a coping mechanism for abysmally low self-esteem. The child's deformed ego may present as collapsed or inflated.
The false self replaces the narcissist's true self and is intended to shield him from hurt and narcissistic injury by self-imputing omnipotence. The narcissist pretends that his false self is real and demands that others affirm this confabulation, meanwhile keeping his real imperfect true self under wraps.
It comes hand-in-hand with this that narcissists hate being criticised or called out. Which is exactly why there's one word in particular narcissistic people cannot stand: "no".